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Coronavirus disease 2019 (COVID-19): cytokine storms, hyper-inflammatory phenotypes, and acute respiratory distress syndrome

机译:2019年(Covid-19):细胞因子风暴,超炎症表型和急性呼吸窘迫综合征

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Coronavirus Disease 2019 (COVID-19) was first identified in China at the end of 2019. Acute respiratory distress syndrome (ARDS) represents the most common and serious complication of COVID-19. Cytokine storms are a pathophysiological feature of COVID-19 and play an important role in distinguishing hyper-inflammatory subphenotypes of ARDS. Accordingly, in this review, we focus on hyper-inflammatory host responses in ARDS that play a critical role in the differentiated development of COVID-19. Furthermore, we discuss inflammation-related indicators that have the potential to identify hyper-inflammatory subphenotypes of COVID-19, especially for those with a high risk of ARDS. Finally, we explore the possibility of improving the quality of monitoring and treatment of COVID-19 patients and in reducing the incidence of critical illness and mortality via better distinguishing hyper- and hypo-inflammatory subphenotypes of COVID-19.
机译:2019年冠状病毒疾病2019年(Covid-19)于2019年底在中国确定。急性呼吸窘迫综合征(ARDS)代表了Covid-19的最常见和严重并发症。细胞因子风暴是Covid-19的病理生理特征,并在区分ARDS的超炎症子熵中起重要作用。因此,在本综述中,我们专注于在Covid-19的差异化发展中发挥着关键作用的ARDS中的超炎症宿主反应。此外,我们讨论炎症相关的指标,这些指标有可能鉴定Covid-19的超炎症副题,特别是对于具有高风险的人。最后,我们探讨了改善Covid-19患者的监测和治疗质量,并通过更好地区分Covid-19的超炎症骨骺和降低危重疾病和死亡率的可能性。

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